Vitality Health Clinic PLLC
NPI 1689430407 · Family Medicine Physician · Dearborn Heights, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vitality Health Clinic PLLC is a Family Medicine Physician organization in Dearborn Heights, MI (NPI 1689430407).
Provider details
- NPI number
- 1689430407
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rawya Kazan, Nurse Practitioner(313) 414-0703
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-02-28
- Last updated
- 2024-04-18
- Certified
- 2024-04-18
Frequently asked questions
- What is Vitality Health Clinic PLLC's NPI number?
- Vitality Health Clinic PLLC's National Provider Identifier (NPI) is 1689430407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vitality Health Clinic PLLC?
- Vitality Health Clinic PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Vitality Health Clinic PLLC located?
- Vitality Health Clinic PLLC's practice location on file with NPPES is 4245 S Beech Daly St Ste 102, Dearborn Heights, MI 48125-1576.
- What is Vitality Health Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Vitality Health Clinic PLLC is (313) 414-0703.
- Does Vitality Health Clinic PLLC accept Medicare?
- Vitality Health Clinic PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vitality Health Clinic PLLC?
- The authorized official listed on Vitality Health Clinic PLLC's NPPES record is Rawya Kazan, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vitality Health Clinic PLLC's NPI active?
- Yes — Vitality Health Clinic PLLC's NPI (1689430407) is active in the NPPES registry as of the last update on 2024-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.